I thyroid hi a overactive deuh niin a lang em? Subclinical Hyperthyroidism chungchang hi han sawi ila!

Tun hnaia thisen test-naah i doctor chuan i TSH level a hniam deuh a ti em? A nih loh leh, chhinchhiahna mak tak tak, hriatthiam harsa tak tak i nei em? Subclinical Hyperthyroidism tih natna i nei thei bawk. Ngaihtuah buai suh, a tlangpuiin a serious lo. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

Subclinical Hyperthyroidism hi eng nge ni?

A awlsam zawngin, `Subclinical Hyperthyroidism` tih hi i thyroid gland hian a pangngai aia tlem a hnathawhna a ni. Mahse `overt hyperthyroidism` angin a na lo.

Kan thluaka pituitary gland hian hormone `TSH` (Thyroid-Stimulating Hormone) tih a siam chhuak a. He `TSH` hian kan kawr chhunga thyroid gland chu hormone pahnih thyroxine (`T4` - `thyroxine`) leh triiodothyronine (`T3` - `triiodothyronine`) siam turin a hrilh a. Heng `T3` ​​leh `T4` hormone te hi kan taksa metabolism puitu an ni a, chu chu kan eitur chu chakna ah a chantir a, kan taksa tan a hmang a ni.

`Subclinical Hyperthyroidism` ah chuan i thisen `TSH` level a hniam a, mahse i `T3` ​​leh `T4` level erawh a normal thung. Chumi awmzia chu thyroid hi a overactive deuh tihna a ni a, chuvangin pituitary gland chuan, "Okay, tunah hian `TSH` ka mamawh lo, ka thyroid hi a thawk tha hle," a ti a, chu chuan `TSH` siam chhuah a ti tlem a ni. Mahse thyroid hormone (`T3`, `T4`) hi a la sang lo hle. Chu chu `subclinical` tih awmzia chu a ni - symptoms langsar tak tak lantir lo underlying condition.

This condition can sometimes be temporary , chu chu ni engemaw zat chhungin a mah chauhin a dam thei tihna a ni. Mahse, mi thenkhat tan chuan a awm reng thei. Mi zawng zawng hian enkawlna an mamawh vek lo.

He natna hi tuin nge vei tam ber?

Tu pawhin `Subclinical Hyperthyroidism` an vei thei a, mahse a hnuaia mite hi tlem a sang zawk an ni:

• Hypothyroidism natna avanga thyroid hormone replacement therapy (entir nan, levothyroxine) ei thinte. A chang chuan damdawi dose tlem a tihpun chuan hetiang hi a thleng thei bawk.
• Kum 65 chunglam tan.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi America ang ramah chuan thil awmdan pangngai tak a ni lo.

Mipui 0.7% velin `Subclinical Hyperthyroidism` an nei a, chutah chuan TSH level chu 0.1 mIU/L aia tlem a ni. 1.8% dang chuan `TSH` level 0.4 mIU/L aia hniam an nei bawk.

Mahse, iodine tlakchhamna ram , a bik takin kum 70 chunglam zingah chuan he natna hi 15% vel a ni thei. Sri Lanka-ah chuan he hlauhawmna hi a tlem hle a, a chhan chu iodized salt kan hmang tlangpui a, mahse fimkhur a tha hle.

Eng nge a lan chhuah dan?

A tam zawkah chuan `Subclinical Hyperthyroidism` vei te hian symptom an nei lo . Chuvangin "subclinical" an ti a ni.

Mahse, a chang chuan hyperthyroidism nena inzawm symptoms na lo tak tak i nei thei bawk. Chutiang hunah chuan:

• I thinlung a na hle tih hriatna (palpitations).
• Ka taksa a nghing ang mai a ni, ka hlauthawng mai mai.
• Weight loss (ei duhna nei mahse).
• Ei duhna a tipung.
• Diarrhea emaw, ril\am fo emaw.
• Vun chu a hring a, a lum a, a hnim bawk.
• Hmeichhe thlasik hun inthlak danglam (`Menstrual changes`).

Pawimawh: Heng symptoms i neih hian `Subclinical Hyperthyroidism` i nei tihna a ni hauh lo. Mahse, heng symptoms te hi a la awm reng a nih chuan doctor pan hi a finthlak hle.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

A tlangpuiin kan endocrine system hian team angin hna a thawk thin. Company lian tak angin han ngaihtuah teh.

Thluak bul hnaia awm hypothalamus hian TRH (Thyroid-Releasing Hormone) tih hormone a tichhuak a. Hei hian pituitary gland chu TSH siam turin a hrilh a ni.

Tichuan `TSH` chu a kal a, thyroid gland chu `T3` ​​(20% vel) leh `T4` (80% vel) siam turin a hrilh a. Heng `T3` ​​leh `T4` te hi thisenah an pun chuan pituitary gland ah signal a thawn leh a, "Okay, tunah hian `TSH` siam kha bansan rawh, hormone a awm tawh ang," tiin. Hei hi ` feedback loop` an ti a. `T3` leh `T4` a tlahniam chuan he cycle hi a tir atang khan a intan leh thin.

Amaherawhchu, `Subclinical Hyperthyroidism`-ah chuan thyroid gland-a harsatna engemaw a awm avangin `TSH` level hniam mahse beisei angin thyroid hormone siam chhuah a tlahniam lo. Chuvang chuan `TSH` hi a hniam a, mahse `T3` ​​leh `T4` te hi normal level-ah an awm thung.

``Subclinical Hyperthyroidism`` thlentu hi a tam zawk chu overt hyperthyroidism thlentu nen a inang tlangpui. A chhan ber thenkhat chu hetiang hi a ni:

• Hypothyroidism (underactive thyroid) avanga hormone therapy (levothyroxine) pek tur dose tihpun. Hei hi a chhan tam ber a ni.
• Multinodular toxic goiter a awm bawk. Hei hi thyroid gland-ah cancer ni lo lumps (nodules) a lo awm a, chu chuan thyroid hormone a siam tam lutuk a ni.
• Graves-a natna a ni. Hei hi autoimmune condition a ni. Chumi awmzia chu kan taksa immune system hian thyroid gland a bei a, hormone tam zawk siam turin a tichak tihna a ni.
• Thyroiditis: Thyroid gland a inflamed chuan hormone level chu rei lo te chhungin a sang thei.

Engtin nge hei hi i hriat chian?

Thyroid function test hi `Subclinical Hyperthyroidism` i neih leh neih loh hriat chian theihna awmchhun a ni.(Thyroid function test chauh. Hengte hi thisen test dan pangngai a ni.

Puitling naupai lo zingah TSH (thyrotropin tia koh bawk) level awm dan pangngai chu litre khatah 0.4 leh 4.5 milli-international units (mIU/L) inkar a ni.

I thisen test-naah i TSH level a hniam (0.1 leh 0.4 mIU/L inkar emaw 0.1 mIU/L aia tlem emaw) a awm a, mahse i T4 (thyroxine) leh T3 (triiodothyronine) level chu normal range chhungah a awm a nih chuan Subclinical Hyperthyroidism i nei tihna a ni.

`Subclinical Hyperthyroidism` hi chi hnih ah then theih a ni a, chungte chu:

• Mild: TSH level a hniam a, mahse a la hriat theih tho - a tlangpuiin 0.1 leh 0.4 mIU/L inkar a ni. He level hi Subclinical Hyperthyroidism vei zinga 65% atanga 75% ah a awm a ni.
• Na tak: TSH level hi 0.1 mIU/L aia tlem a ni. Hei hian mi 25% leh 35% inkar a nghawng a ni.

Hei hian enkawl a ngai em?

A nihna takah chuan doctor-te zingah `Subclinical Hyperthyroidism` enkawl leh enkawl loh chungchangah ngaihdan hrang hrang a awm a, a chhan chu enkawlna hlawkna chiang tak chungchangah zirchianna a la awm tawk lo a ni.

Doctor-te chuan subclinical hyperthyroidism vei tan chuan "wait and see" tih hi an rawt fo thin. Chu chu, enkawl tan lovin an dinhmun chu a mah chauhva a ṭhat hun an nghak tihna a ni.

Mahse, TSH level 0.1 mIU/L hnuai lam awm reng tan chuan enkawl a tha thei a, a bik takin a hnuaia mite tan hian:

• Kum 65 aia upa i nih chuan.
• Kum 65 hnuai lam i nih chuan thinlung natna, ruh natna, hyperthyroidism symptoms i nei a ni.
• Hmeichhia postmenopausal, kum 65 hnuai lam, estrogen emaw bisphosphonates (ruh harsatna enkawlna atana hman damdawi chi khat) ei lo i nih chuan.

Naupai laiin subclinical hyperthyroidism hi a tlangpuiin enkawl a ngai lo.

Enkawlna pek a nih chuan eng nge ni?

I doctor chuan enkawl a ngai tih a rel chuan enkawlna chu subclinical hyperthyroidism awm chhan a innghat ang.

• Toxic multinodular goiter (i kawr chhunga lump) emaw, i thyroid-a nodule pakhat emaw i neih chuan enkawlna hman tlanglawn ber chu radioactive iodine a ni. Hei hi kaa i ei thin damdawi a ni. I thyroid-a cell overactive tak takte hian iodine chu an absorb a. Radioactive iodine hian chu cell te chu a tichhia a, kar tlemte chhungin thyroid a ti tlem a, i hormone level a tlahniam bawk.
• Graves natna i neih chuan a enkawl dan tlangpui chu antithyroid damdawi leh radioactive iodine te hi a ni. Antithyroid damdawi methimazole (Tapazole) leh propylthiouracil (PTU) te hian thyroid gland-in hormone a siam theihna a tikhawlo a, hna a thawk a ni.

Hei hi a thlen loh nan a veng thei ang em?

A tam zawkah chuan `Subclinical Hyperthyroidism` emaw, langsar taka `Hyperthyroidism` emaw lo awm tur venna tur engmah kan ti thei lo.

Mahse, i ei leh inah iodine i hmuh tlem chuan (or tam lutuk) , `toxic goiter` vangin `Subclinical` emaw `Overt Hyperthyroidism` emaw i nei thei a ni. Hei hi Sri Lanka ang ramah chuan iodized salt kan hman avangin a awm lo nain, iodine tlakchhamna ramteah chuan hmuh tur a awm.

Hetiang dinhmun hi eng nge kan beisei theih ang? Risk a awm em?

Subclinical hyperthyroidism hi overt hyperthyroidism- ah a kal tam lo hle . Mahse, TSH level hniam tak tak (0.1 mIU/L aia tlem) nei tan chuan he hlauhawmna hi a sang deuh hlek a ni.

A chhan tam tak a awm avangin mi tin `Subclinical Hyperthyroidism` hi a danglam vek.

`Overt Hyperthyroidism`-ah a kal zel lo a nih pawhin `Subclinical Hyperthyroidism` hian harsatna engemaw zat a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Atrial fibrillation ( thinlung thawk mumal lo).
• Heart failure (thinlung natna vei theihna risk ).
• Lung natna (coronary artery disease) natna (coronary artery disease ) a ni.
• Ruh hloh leh ruh tliak.
• Dementia ( kum upat ruala hriatrengna hloh thei dinhmun).

Heng hlauhawmna hi kum 65 chunglam leh subclinical hyperthyroidism na tak nei tan a sang hle.

Heng hlauhawmnate hi i ngaihtuah a nih chuan i doctor nen hemi chungchang hi sawipui a tha ber.

Engtikah nge Doctor ka hmuh ang?

A tam zawkah chuan i test-naah ``Subclinical Hyperthyroidism'' i nei tih a hriat chuan doctor-te chuan "wait and see" approach an hmang ang.

Mahse, hyperthyroidism symptoms (anxiety, restlessness, palpitations) i neih tan chuan doctor pan ngei ngei tur a ni. Chumi hnuah chuan thyroid thisen test dang a nei leh ang a, `Overt Hyperthyroidism` i nei em tih a enfiah leh ang.

`Subclinical Hyperthyroidism` enkawl leh enkawl loh chungchangah ngaihdan hrang hrang a la awm tih hre reng ang che. Mi zawng zawng, dinhmun tin hi a danglam vek. Chuvangin, i zawhna leh hlauh zawng zawng te doctor nen sawiho vek hi a tha ber a ni. Amah chu a inpeih reng a, a puih duh che a ni.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atanga i hriat reng tur thenkhat chu hetiang hi a ni:

• ``Subclinical Hyperthyroidism`` hi thyroid gland hi a overactive deuh chauh a, mahse symptom lian tham a lantir lo.
• Hei hi thisen test atanga hriat a ni a, TSH level a hniam (mahse T3 leh T4 pangngai) a ni.
• Symptoms a awm loh fo avangin enkawl a ngai lo mai thei. I doctor chuan "nghak la, en rawh" tih dan a hmang mai thei.
• Mi thenkhat, a bik takin kum upa lam emaw, hriselna lama harsatna dang nei te chuan enkawl an ngai mai thei.
• Hyperthyroidism symptoms (heart rate sang, khur, rihna tlahniam) i neih chuan doctor pan nghal rawh.
• A pawimawh ber chu hlauthawng lo la, hemi chungchang hi doctor nen zalen taka sawipui la, a thurawn zawm hi a ni.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

` Subclinical Hyperthyroidism, thyroid, TSH, T3, T4, hormone, Graves natna, goiter te a awm bawk